- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02871401
A Pilot Trial of Herpesvirus Treatment in Idiopathic Pulmonary Fibrosis (IPF)
April 25, 2022 updated by: Jonathan Kropski, Vanderbilt University Medical Center
A Phase One-B (1B) Pilot Trial of Herpesvirus Treatment in Idiopathic Pulmonary Fibrosis (IPF)
The investigators will conduct a single-center, prospective, randomized, placebo-controlled, double-blind pilot study of anti-herpesvirus therapy in patients with idiopathic pulmonary fibrosis (IPF).
Patients with mild, moderate or severe IPF with serologic evidence of current or past Epstein-Barr Virus (EBV) or cytomegalovirus (CMV) infection.
Randomization will be to pirfenidone plus placebo or pirfenidone plus valganciclovir.
Thirty subjects will be enrolled and randomized to treatment with pirfenidone plus valganciclovir (20 subjects) or pirfenidone plus placebo (10 subjects) for 12 weeks.
The primary outcome will be safety and tolerability will be determined by type, frequency and duration of adverse events (AEs) and serious adverse events (SAEs) after 12 weeks of study drug treatment.
All study subjects will be offered bronchoscopy with bronchoalveolar lavage (BAL) at study initiation and upon completion of treatment (12 weeks).
Subjects will then be followed up at routine clinic visits at 6, 9 and 12 months for data collection.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
31
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Tennessee
-
Nashville, Tennessee, United States, 37232
- Vanderbilt University Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
21 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- age >21 and <80 years
- ability to provided informed consent
- diagnosis of probable or definite IPF according to American Thoracic Society (ATS) criteria
- tolerance of full-dose (2403 mg/day) pirfenidone
- Positive serology for EBV or CMV
Exclusion Criteria:
- FVC < 40% predicted
- Diffusing capacity for carbon monoxide (DLCO) < 35% predicted (Crapo)
- Forced expiratory volume (FEV)1/FVC <0.7
- Significant centrilobular emphysema (>40% by HRCT)
- Active tobacco use (cigarette or cigar smoking)
- Resting oxygen saturation (SpO2) on room air <89%
- Listed for lung transplantation defined as being assigned a lung allocation score
- environmental exposure (occupational, environmental, drug, etc.) felt by the principal investigator (PI) to be the etiology of the interstitial disease
- diagnosis of collagen-vascular conditions (according to the published American College of Rheumatology criteria)
- history of unstable or deteriorating cardiac disease
- acute coronary syndrome, coronary artery bypass, or angioplasty within 3 months of screening
- uncontrolled arrhythmia
- uncontrolled hypertension
- known HIV or hepatitis C
- known cirrhosis or chronic active hepatitis
- active substance or alcohol abuse
- pregnancy or lactation
- Women of childbearing potential who are not using a medically approved means of contraception. Subjects will be considered of childbearing potential if they are not surgically sterile or have not been postmenopausal for at least 2 years [any subject who is postmenopausal for < 2 years will be required to have a follicle-stimulating hormone (FSH) level to assess her potential to become pregnant
clinically relevant lab abnormalities (obtained within 30 days before enrollment), including:
- creatinine > 2 x upper limit of normal (ULN)
- hematology outside of specified limits: white blood cells (WBCs) < 3,500/mm3; hematocrit < 25% or > 59%; platelets < 100,000/mm3;
- total bilirubin > 2 x ULN
- Aspartate (AST) or alanine aminotransferases (ALT)/ serum glutamic-oxaloacetic; transaminase (SGOT), or serum glutamic pyruvic transaminase (SGPT) > 2.0 x ULN
- alkaline phosphatase > 3 x ULN
- albumin < 3.0 mg/dL at screening
- known hypersensitivity to study medication
- any condition that, in the judgment of the PI, might cause participation in this study to be detrimental to the subject or that the PI deems makes the subject a poor candidate
- any therapy with immunosuppressants such as prednisone, azathioprine, or mycophenolate currently or anticipated to be needed during the study period (subjects on these drugs prior to the study will require a 30-day washout period before randomization)
- participation in another IPF clinical treatment trial during the study period (if completing another IPF clinical treatment trial, then a 30-day washout period is required before randomization)
- requirement for chronic suppressive therapy with valacyclovir for recurrent herpes virus infection
- History of myelodysplasia, aplastic anemia, refractory anemia, or multiple myeloma.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Valganciclovir
Valganciclovir 450 mg, 2 pills by mouth one time per day x 12 weeks
|
Subjects with IPF currently tolerating pirfenidone treatment who have evidence of prior EBV or CMV infection will be randomized to valganciclovir or placebo for 12 weeks.
Other Names:
|
Placebo Comparator: Placebo
Placebo, 2 pills by mouth one time per day x 12 weeks
|
Subjects with IPF currently tolerating pirfenidone treatment who have evidence of prior EBV or CMV infection will be randomized to valganciclovir or placebo for 12 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of Subjects Who Discontinue Study Drug Due to Adverse Events
Time Frame: 12 weeks
|
Proportion of study subjects who discontinue study drug due to adverse events
|
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse Events - Number
Time Frame: 12 weeks
|
Number of subjects with each reported adverse event
|
12 weeks
|
Serious Adverse Events
Time Frame: 12 weeks
|
Number of subjects with each serious adverse event
|
12 weeks
|
Total # Adverse Events
Time Frame: Randomization to 16 weeks
|
Total number of adverse events
|
Randomization to 16 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Forced Vital Capacity (FVC)
Time Frame: Baseline vs. 12 weeks, 1 year
|
Change in FVC percent predicted compared to baseline
|
Baseline vs. 12 weeks, 1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Jonathan A Kropski, MD, Vanderbilt University Medical Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 3, 2018
Primary Completion (Actual)
January 31, 2020
Study Completion (Actual)
January 31, 2020
Study Registration Dates
First Submitted
August 15, 2016
First Submitted That Met QC Criteria
August 17, 2016
First Posted (Estimate)
August 18, 2016
Study Record Updates
Last Update Posted (Actual)
April 29, 2022
Last Update Submitted That Met QC Criteria
April 25, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 160693
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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